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1285857342
R BLAKE EDMONDS
PHILADELPHIA, PA
NPI
1285857342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PA Ds19126L)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. R BLAKE EDMONDS D.M.D.
1501 E WADSWORTH AVE
PHILADELPHIA, PA 19150-1615
Phone number: 215-247-1040
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Mailing Address
Dr. R BLAKE EDMONDS D.M.D.
1501 E WADSWORTH AVE
PHILADELPHIA, PA 19150-1615
Phone number: 215-247-1040
Copy
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